New Rule Brings Strict Penalties for Information Blocking in Healthcare: Protecting Patient Outcomes through Interoperability”.

In a bid to promote improved access, exchange and use of electronic health information, the Department of Health and Human Services has released a final rule that imposes strict penalties on healthcare providers who obstruct access to this vital data. The rule, which was initially met with concern from groups such as the AHA, outlines consequences for providers found guilty of information blocking.

Under this new rule, hospitals participating in the Medicare Promoting Interoperability Program could face a 75% reduction in their market basket update if they are found guilty of engaging in information blocking. Critical access hospitals could see their reimbursement reduced from 101% to 100% of reasonable costs while clinicians in the Medicare Merit-based Incentive Payment System could receive a score of zero in the Promoting Interoperability performance category.

Moreover, providers in accountable care organizations who engage in information blocking may be disqualified from participating in the Medicare Shared Savings program for a minimum of one year, potentially losing out on revenue they may have earned through the program. Despite expressing disappointment with the final rule, the AHA acknowledges that it aims to promote interoperability and improve patient outcomes.

Overall, this new rule serves as a reminder that electronic health information is critical to delivering quality care and promoting better health outcomes for patients. It underscores the need for healthcare providers to prioritize interoperability and ensure that patients have access to their medical records when and where they need it most.